Evidence map›Paper›PMID 33337443›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2020

[Qualitative study of the implementation of the Continuity of Care and Rehabilitation Program for people with severe mental disorders in PeruEstudo qualitativo sobre a implementação do Programa de Continuidade de Cuidados e Rehabilitação para pessoas com transtornos mentais graves no Peru].

Francisco Diez-Canseco, Jefferson Rojas-Vargas, Mauricio Toyama, María Mendoza, Victoria Cavero, Humberto Maldonado, July Caballero, Yuri Cutipé

Open access · diamondAbstract readEnglish Abstract
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Francisco Diez-CansecoCRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia Lima Perú CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú.
Jefferson Rojas-VargasCRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia Lima Perú CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú.
Mauricio ToyamaCRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia Lima Perú CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú.
María MendozaDirección de Salud Mental Ministerio de Salud del Perú Dirección de Salud Mental, Ministerio de Salud del Perú.
Victoria CaveroCRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia Lima Perú CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú.
Humberto MaldonadoDirección de Salud Mental Ministerio de Salud del Perú Dirección de Salud Mental, Ministerio de Salud del Perú.
July CaballeroDirección de Salud Mental Ministerio de Salud del Perú Dirección de Salud Mental, Ministerio de Salud del Perú.
Yuri CutipéDirección de Salud Mental Ministerio de Salud del Perú Dirección de Salud Mental, Ministerio de Salud del Perú.
Universidad Peruana Cayetano Heredia · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDescribe the implementation of the Continuity of Care and Rehabilitation Program (PCC-R) in community mental health centers (CSMCs, Spanish acronym) in Peru.

methodsQualitative study of the implementation of the PCC-R in four CSMCs in Lima and La Libertad, Peru. Forty-two individual semi-structured interviews were conducted, as well as a focus group with five participants, for a total of 47 informants, including users, family members, and professionals involved in the design, implementation, and monitoring of the program.

resultsThe PCC-R is a key program for community mental health services in Peru and it enjoys broad acceptability. Providers and users report satisfaction with its results; however, the program lacks a policy document specifying its objectives, organization, and activities. This would explain the variability in its implementation. The PCC-R has limitations in terms of management of financial and human resources, and it is necessary to improve training and supervision. There is consensus on the need, usefulness, and viability of developing a system to monitor the PCC-R. Good practices and suggestions are presented with a view to addressing these challenges.

conclusionsThe PCC-R is a flagship program for the CSMCs and for the mental health reform in Peru. It has achieved broad acceptability among providers and users. Its implementation combines successes and difficulties, with pending tasks that include developing a policy document, improving resource management, strengthening training and supervision, and implementing a monitoring system for continuous improvement of the program.

Indexed as

community mental health centersContinuity of patient caremental healthPeruqualitative research

Identifiers

PMID33337443
PMCPMC7737645
OpenAlexW3097051906

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.